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New Hampshire rates for HCPCS 61703

Icra Crv Appl Occluding Clamp Crv Crtd Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $4,564.17 / $9,859.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.11 / $1,896.45 / $4,564.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,512.20 / $20,162.41 / $35,151.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,593.19 / $2,612.12 / $3,825.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,746.33 / $2,845.67 / $4,114.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.85 / $3,070.62 / $5,098.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,448.00 / $7,448.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.88 / $2,510.14 / $4,876.63
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,058.40 / $1,164.24 / $1,481.76